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Basic Urine Test (Qualitative)

New Jersey rates for HCPCS 81005

This is a general urine test that checks for the presence of various substances using simple chemical methods, without using antibody-based testing techniques. It provides a quick check for things like sugar, protein, or blood in the urine.

Rates data updated July 2026.

How much does Basic Urine Test (Qualitative) cost?

$2.57

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $2.57 for this service. The price depends on where it is billed: about $1.95 from a physician practice, and about $5.01 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.95$1.66 to $2.57
FacilityA hospital or hospital-owned outpatient department$5.01$3.24 to $13.49

How much rates vary

Facilitymedian $5 · 10th to 90th $2 to $59Professionalmedian $2 · 10th to 90th $2 to $5
$1$10$100$1K$10Kfacility $5professional $2

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$5.01
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$1.95
Typical High
$5.37
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$1.20
Median
$1.20
Typical High
$1.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$5.01
Typical High
$10.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$2.09
Typical High
$5.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$0.87
Median
$1.10
Typical High
$2.45
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$11,481.54
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.91
Typical High
$2.40
United
Setting
Facility
Modifier
Global
Typical Low
$1.02
Median
$2.19
Typical High
$4.47
United
Setting
Professional
Modifier
Global
Typical Low
$0.98
Median
$1.41
Typical High
$3.02

Where New Jersey sits

The same service costs 2.4 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 24th of 51

$2.57

HI $3.89DC $1.62

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.